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Prof. Radka ArgirovaПроф. д.м.н. Радка Аргирова, вирусолог, Аджъбадем Сити Клиник ДКЦ и Токуда Болница, София

Преди да  опишем особеностите в специфичната диагностика на HIV-инфекцията,  ще дефинираме някои основни понятия от областта HIV/СПИН. HIV-инфекцията се определя като периодът от момента на заразяване с HIV до смъртта при естествен ход на инфекцията. СПИН е последната фаза на HIV инфекцията, като съществуват ясно определени критерии – клинични и лабораторни -  за поставяне на диагнозата  СПИН. Симптомите на остра/ хронична HIV инфекция при възрастни и деца са описани в Приложение 1 към чл.10,т.1 на Наредба N 47 на МЗ, обнародвана в ДВ, бр.103/29.12.2009 г.  В Приложение 2 към чл.10,т.2 на същата Наредба са описани индикаторните заболявания за СПИН.
Прозоречен период е времето между заразяването с HIV и появата в кръвта на биохимично измерими маркери на инфекцията (най-често  антитела, но като маркери могат да бъдат използвани и вирусспецифични антигени, както и вирусна РНК). Сероконверсия е моментът, в който се откриват биохимично измеримите маркери (най-често антитела към HIV, които най-вероятно се формират по-рано, отколкото се откриват). Практически, прозоречният период е времето между заразяването и откриването на антивирусните антитела. HIV антителата се откриват най-рано 2 седмици след заразяването, в 60-65% от случаите се откриват след 4 седмици, в 80% - след 6 седмици, в 90% - след 8 седмици и в 95-98% - след 12 седмици. При съвременните тестове от 4-то поколение освен анти-р24 антителата, се открива и р24 антигена – около 4-5 дни преди появата на антителата. Най-ранно определимият лабораторен маркер е HIV РНК, която пък се открива около 6-7 дни преди р24 антигена. Следователно, няма никакъв смисъл да се търсят специфични маркери на HIV преди началото на втората седмица след заразяването.



Latest news

Break the Silence: Sexual Exploitation and Sexual Violence of Children Could Happen Everywhere

Sofia, November 18, 2020

Break the Silence: November 18 is the European Day on protection of children against sexual exploitation and sexual violence.
The first thing that comes to mind when we hear ‘sexual exploitation’ is usually connected with red lanterns, streets or roads with women (and men) sex workers, trafficking of human beings. Sexual exploitation of children could have also other faces – sex services in exchange of expensive things such as smart phone or modern accessory or at the cost of a lunch, sweets or instead of rent for parents’ accommodation. It can happen via internet and to affect minors before they become teenagers. That’s why it is needed to break the silence and to ask for zero tolerance concerning this ugly phenomenon. Statistics show that one of five children becomes victim of violence, including sexual. As parents we can prevent this: we can teach them for instance on the Rule of the Bathing Suit. It says that no one has the right to touch their body, especially where the body is covered by a swimming bathing suit. Medical examinations and manipulations as well don’t have to be allowed without their informed consent. The rule helps children to understand that their bodies are their own, that there is good and bad touching, as well es personal borders and social ethnic norms.

Six Small Projects in the Frame of LAP Supported

Sofia, October 2020

The second competition for small projects for organizations of Learning Action Partnership (LAP) took place in June and July 2020. In the defined for collecting proposals deadline five proposals were presented, among which with the help of a special selected committee, as well of organizations members of LAP, for supporting were approved three:
Project ‘ACT>Re-Act>ImpACT! – innovative approach for advocacy of HGO concerning sexual exploitation of children’ of Re-Act Association has the ambition to develop innovative business oriented approach for effective advocacy of NGO with the help of professionals in marketing sphere.
Project ‘Can You See Me? – the hidden vulnerability of children from sexual exploitation and violence’ of ‘Parents’ Association will contribute for improving and effective applying of ‘Mechanism for reaction against harassment and violence in the institutions in the system of preschool and school education’ as exploring the gaps concerning prevention and its effective applying in cases of risk and/or cases of sexual exploitation and violence against children, including online.
Project ‘Individual Protection – advocating for changes in the legislation for individual assessment of children victims of sexual exploitation’ of Social Activities and Practices Institute (SAPI) is aiming to improve the policy and the law on individual assessment of children, victims of crimes, incl. sexual exploitation within the meaning of a directive 29/2012/ЕС.

Two round tables at the second year end of the project “My body, my rights”

Yambol, September 24, 2020
Montana, September 28, 2020

At the end of the second year of BFPA’s project “My body, my rights”, supported by the initiative for socially responsible business “MSD for mothers”, the association organized round tables on the need and benefits of family planning with a focus on vulnerable communities in two of the project locations. During the meetings a recap of the activities up to now was made and future ones were discussed for the third year. Both events were attended by  municipal representatives, Regional health inspectorate, Regional health insurance fund, health mediators, health specialists, representatives of local NGOs, Community support centers, social workers and most importantly – members of the target communities in which activities are implemented.
A special accent was BFPA’s new short animated products - “Family planning” and “Pregnancy with a smile”. The discussion was on the activities until now and their effect on improving the level of information in the target groups, the need for such activities in general, the best working communication channels in the Roma community, the role of the self help groups and the health mediators, the difficulties caused by COVID-19 and other problems, i.e. the duplication and decentralization of social activities from different institutions. A recapitulation of what has been done until now in Montana was made by Dr. Radosveta Stamenkova, Executive Director of BFPA and Petar Tzvetanov, local Project Coordinator, and for Yambol – Tzveta Petkova, member of NNHM’s Board and Kina Asenova, local Project Coordinator.